Total shoulder arthroplasty: are the humeral components getting shorter?

Current Reviews in Musculoskeletal Medicine
Luke HarmerJohn W Sperling

Abstract

Each generation of total shoulder arthroplasy has improved on the previous. The newest humeral component innovation is shortening the humeral component or eliminating the stem entirely to rely on stemless fixation in the humeral metaphysis. This offers theoretical advantages of preserved bone stock, less stress shielding, eliminating the diaphyseal stress riser, ease of stem removal at revision, and humeral head placement independent from the humeral shaft axis. There are a number of short term cohorts that have shown low complication rates and outcomes similar to previous generations of stemmed humeral components. Longer term and better designed studies are needed in order for short stems and stemless components to become the standard of care.

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Citations

Mar 30, 2017·International Orthopaedics·Jeremy S SomersonFrederick A Matsen
Aug 2, 2017·JBJS Reviews·Tyler J BrolinSurena Namdari
Dec 21, 2019·The Journal of the American Academy of Orthopaedic Surgeons·Eugene W BrabstonBrent A Ponce
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Feb 5, 2021·Bone & Joint Open·Timothy James KarssiensSøren Upton Sjolin
Mar 9, 2021·Arthroscopy Techniques·Hannah M NashJames L Chen
Mar 7, 2021·Journal of Shoulder and Elbow Surgery·Brian C WernerPatrick J Denard
Nov 15, 2021·Journal of Shoulder and Elbow Surgery·Brian C WernerLaurence D Higgins

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